National Provider Identifier [NPI]: |
1487677605 |
Last Name Of The Provider |
SHERWOOD |
First Name Of The Provider |
SCOT |
Middle Initial Of The Provider |
H |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
820 N CHELAN AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
WENATCHEE |
Zip Code Of The Provider |
988012028 |
State Code Of The Provider |
WA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
187 |
Number Of Services |
4780 |
Number Of Medicare Beneficiaries |
2645 |
Total Submitted Charge Amount |
694607.76 |
Total Medicare Allowed Amount |
196754.99 |
Total Medicare Payment Amount |
150371.12 |
Total Medicare Standardized Payment Amount |
154250.34 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
1113 |
Number Of Medicare Beneficiaries With Drug Services |
69 |
Total Drug Submitted ChargeAmount |
5184.63 |
Total Drug Medicare AllowedAmount |
1769.87 |
Total Drug Medicare PaymentAmount |
1344.86 |
Total Drug Medicare Standardized Payment Amount |
1344.86 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
180 |
Number Of Medical Services |
3667 |
Number Of Medicare Beneficiaries With Medical Services |
2645 |
Total Medical Submitted Charge Amount |
689423.13 |
Total Medical Medicare Allowed Amount |
194985.12 |
Total Medical Medicare Payment Amount |
149026.26 |
Total Medical Medicare Standardized Payment Amount |
152905.48 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
377 |
Number Of Beneficiaries Age 65 to 74 |
1024 |
Number Of Beneficiaries Age 75 to 84 |
814 |
Number Of Beneficiaries Age Greater 84 |
430 |
Number Of Female Beneficiaries |
1525 |
Number Of Male Beneficiaries |
1120 |
Number Of Non Hispanic White Beneficiaries |
2422 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
149 |
Number Of American Indian Alaska Native Beneficiaries |
25 |
Number Of Beneficiaries With Race Not Else where Classified |
27 |
Number Of Beneficiaries With Medicare Only Entitlement |
2128 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
517 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
27 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
51 |
Percent Of With Hypertension |
65 |
Percent Of With Ischemic Heart Disease |
29 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.229 |